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2015-06-05_GENERAL DOCUMENTS - M1986040
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2015-06-05_GENERAL DOCUMENTS - M1986040
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Last modified
8/24/2016 6:01:28 PM
Creation date
7/15/2015 4:51:38 PM
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Template:
DRMS Permit Index
Permit No
M1986040
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/5/2015
Doc Name
Affidavit of Authority
From
Gregory Brown
To
DRMS
Email Name
ACY
GRM
Media Type
D
Archive
No
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X4 <br />lNl 1 4 e& 40 <br />L •/ <br />Affidavit of Authority to Execute Financial Warranty Documents <br />Before me this day, the and rsigrl � L'Jr, V N �/ vow � [name of authorized <br />person], in his/her capacity as y%IiI/iG/tT �— [title of authorized person] ("Affiant"), <br />personally appeared and, being first duly sworn upon oath said: <br />1. This affidavit is being executed and submitted on behalf ofyekvv �IVW' MV(&WW j L(J— [name <br />of business organization], a(n) 6t'Vakt4lTol-\ [legal form of business organization, <br />e.g., corporation, partnership, limited liability company, etc.], in good standing in the State of Colorado (the <br />"Company"). <br />2. It is in the interest of the Company to execute certain financial warranty documents associated with file <br />number M 0 867- oy0 (DRMS file number), which are required by the Colorado Mined Land <br />Reclamation Board and Division of Reclamation Mining and Safety pursuant to Colorado law ("Financial <br />Warranty Documents"). <br />3. Affiant is duly authorized to sign such Financial Warranty Documents on behalf of the Company and to <br />bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by any applicable law from <br />executing the Financial Warranty Documents. <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty (30) days in the event that <br />his/her authorization to execute Financial Warranty Documents on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />STATE OF� ) <br />ss.: <br />COUNTY OF <br />} <br />RECEIVED <br />JUN 0 5 2015 <br />Mvis f atn Of PRdxnaom, <br />he foregoing instrument was acknowl ged before me this I 1q dayof —,2�0C r <br />by t f (3 ��c�; t'� as S i �e of Sba t,ei a.� 6, ✓a �� I t LL <br />Notary Public <br />.r*v t tet H* Rawson My Commission Expires I() — U �— [ <br />�etac> YMMic. <br />�taa �d "leas <br />Expires. 10-08-2018 <br />
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